SearchColorado111N00000X

Kerry Randa

NPI 1245239854 · on the registry since 2005 · sole proprietor

Practice

Address
1717 Madison Ave
#1
Loveland, CO 80538
Phone
(970) 667-7159
Fax
(970) 593-1033
Clinicians at this address
2

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado